Overview
Fairview Health Services has an opportunity for a Patient Financial Services Representative II at our Midway Campus in St Paul, MN! This position supports management in the billing and collection of accounts receivable for inpatient and outpatient accounts and/or resolving customer service issues. We seek individuals who understand the revenue cycle and the importance of evaluating and securing all appropriate financial resources for patients to improve reimbursement to the health system. This includes all revenue cycle processes: insurance verification, acquiring prior authorizations, billing, claim follow up, and denial management.
This position is apoproved for 80 hours every two weeks and is a remote role. Are you interested in benefits? We offer medical, dental, and vision coverage along with PTO and 403B!
Join M Health Fairview, where we’re driven to heal, discover, and educate for longer, healthier lives.
Responsibilities/Job Description
This position is responsible for billing and collection of accounts receivable for inpatient and outpatient accounts, ensures expected payment is collected and accounts are fully resolved, and resolves complex customer service issues. This position understands the importance of evaluating and securing all appropriate financial resources for patients to ensure proper adjudication.
- Intentionally prevents untimely revenue shortfalls by taking action to resolve financial transactions appropriately and effectively to ensure collection of expected payment; escalates issues when appropriate.
- Accelerates business outcomes by identifying ways to fully resolve accounts through single-touch resolution when possible.
- Understands revenue cycle and the importance of evaluating and securing all appropriate reimbursements from insurance or patients.
- Contacts payers via portal or provider service center to facilitate timely and accurate resolution of accounts.
- Responsible for verification of insurance and/or patient demographics
- Understands expected payment amounts and Epic expected payment calculations to appropriately adjust accounts
Qualifications
Required
- 1 year in a medical billing office setting or relevant experience
Preferred
- 2 years of medical billing office setting experience
- MS Office experience
- Insurance / follow up experience
- Coordination of benefits experience
- Epic, Brightree, Billing Bridge, or comparable software account experience
- Experience working with medical terminology
- Experience working with CPT-4 and ICD-10
- Knowledge of FV account review experience
- Knowledge of FV system applications
- Knowledge of FV RCM workflows
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Fairview Health Services (fairview.org) is an award-winning, nonprofit health system providing exceptional care across the full spectrum of health care services. Fairview is one of the most comprehensive and geographically accessible systems in the state, with 12 hospitals—including an academic medical center and long-term care hospital—serving the greater Twin Cities metro area and north-central Minnesota.
Its broad continuum also includes 56 primary care clinics, specialty clinics, senior living communities, retail and specialty pharmacies, pharmacy benefit management services, rehabilitation centers, counseling and home health care services, medical transportation, an integrated provider network and health insurer PreferredOne. In partnership with the University of Minnesota, Fairview’s 32,000 employees and 2,400 affiliated providers embrace innovation to drive a healthier future through healing, discovery and education.
EEO/AA Employer/Vet/Disabled All qualified applicants will receive consideration without regard to any lawfully protected status.